ClinicalTrials.gg
CompletedNCT05405907Updated Jun 6, 2022

Evaluation of the Haemostatic Agent Purabond in ENT TORS

An observational study in Hemorrhage, sponsored by University Hospital Birmingham NHS Foundation Trust. Completed at 1 site in United Kingdom. Per ClinicalTrials.gov, last updated 2022-06-06.

Sponsored by University Hospital Birmingham NHS Foundation Trust · Observational

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Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
12
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 64 studies in Hemorrhage with a site in United Kingdom — 5 open to participants now, 7 under way, 5 of them phase 3. Hemorrhage · United Kingdom.

Enrollment
15th of 16
12 · median 485
Started
2021
with 1 other
Observational
16 of 64
none open now
Registered
56th of 64
by date

Among the 64 studies in Hemorrhage with a site in United Kingdom, this one is the 15th largest by enrollment of the 16 observational ones that give a count, is one of 2 that started in 2021, is one of 16 observational ones, and was the 56th registered.

Hemorrhage

1,383 studies on the registry are indexed under Hemorrhage; 244 are open to participants now.

Browse Hemorrhage studies →

Open to participants now

5 of the 64 studies in Hemorrhage with a site in United Kingdom are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 170 Hemorrhage studies recruiting now, 109 (64%) set no upper age limit and 40 (24%) stop at 75 or younger; 25 take children under 18; 21 take healthy volunteers.

This study: all sexes · no healthy volunteers.

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02

Study summary

To evaluate the use of Purabond in ENT TORS for diagnostic and therapeutic procedures. Consecutive patients enrolled retrospectively via case note review. Outcome measures - primary and secondary haemorrhage, swallowing outcomes, need for nasogastric tube or tracheostomy, readmission.

Read the detailed description

Transoral robotic surgery (TORS) has been increasingly utilised in ear, nose and throat (ENT) Surgery over the past 20 years offering unprecedented 3-dimensional (3-D) views and enabling access to traditionally 'difficult-to-reach' tumours. It is now becoming a viable first line treatment option for oropharyngeal squamous cell carcinoma (OPSCC) compared to chemoradiotherapy. One of the main concerns is serious haemorrhage that can lead to death. PuraBond® (also known as PuraStat ®; 3D Matrix Ltd, Tokyo, Japan), which consists of the RADA16 family of synthetic peptides. PuraBond® is a self-assembling viscous solution that once applied on the surgical bed, it forms a transparent hydrogel 3-D matrix to achieve local haemostasis. Its transparent nature allows visualisation of the surgical field, permitting real-time assessment of intraoperative haemostasis. There are some studies demonstrating that it can promote healing. We aimed to assess the effect of Purabond in ENT TORS for diagnostic and therapeutic procedures such as oropharyngectomy and tongue base mucosectomy. Patients were enrolled from a single tertiary university hospital trust in the United Kingdom (University Hospitals Birmingham National Health Service Foundation Trust). Case notes for all patients were analysed retrospectively. Data extracted included patient demographics (age, sex, smoking history), procedure details (date, indication for surgery and type of TORS procedure) and tumour details (histopathology including p16 status and stage). The primary outcome measure was post-operative haemorrhage rate (primary; within 24 hours of surgery, and secondary; between 1-30 days post-surgery). Secondary outcome measures included, length of hospital stay (LOS), post-operative swallowing complications, in particular whether feeding tube insertion or tracheostomy was performed either prior to or within 30 days of surgery, hospital re- readmission rate within 30 days of surgery, and surgeon-reported ease of PuraBond® application. Descriptive statistical analysis was undertaken where applicable (mean, median, standard deviation) using Microsoft Excel® version 16.31.

03

Conditions studied

  • Hemorrhage

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04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All consecutive patients undergoing ENT transoral robotic surgery (TORS) with Purabond application between August 2021 - May 2022 at a single centre teaching university hospital National Health Service trust

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • all consecutive patients undergoing ENT transoral robotic surgery (TORS) with Purabond application between August 2021 - May 2022 at a single centre teaching university hospital NHS trust

Exclusion criteria

Exclusion Criteria:

  • Purabond not applied
  • incomplete case notes
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
12 participants (actual)
Patient registry
No

Interventions

  • OtherPuraBond haemostatic agent

    Application of Purabond to surgical field

06

What researchers measure

Primary outcomes

  1. Primary haemorrhage

    Haemorrhage

    Time frame: 24 hours post operatively

  2. Secondary haemorrhage

    Haemorrhage

    Time frame: Day 1 to day 30 post operatively

Secondary outcomes

  1. Readmission

    Hospital readmission

    Time frame: Within 30 days post operatively

  2. Feeding tube

    Nasogastric tube insertion

    Time frame: Within 30 days post operatively

  3. Tracheostomy tube

    Tracheostomy tube insertion

    Time frame: Within 30 days post operatively

07

Study locations

1 site
  • University Hospitals Birmingham NHS Trust
    Birmingham, B15 2TH, United Kingdom
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2021 to primary completion in May 2022, 9 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 27, 2022
First posted
Jun 6, 2022
StartActual
Aug 1, 2021
Primary completionActual
May 1, 2022
CompletionActual
May 1, 2022
Last update
Jun 6, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05405907
Lead sponsor
University Hospital Birmingham NHS Foundation Trust
Responsible party
Keshav Gupta (ENT Registrar, University Hospital Birmingham NHS Foundation Trust) — Principal investigator
First posted
Jun 6, 2022
Start date
Aug 1, 2021
Primary completion
May 1, 2022
Completion
May 1, 2022
Last update
Jun 6, 2022

Study contacts

Keshav Gupta, MBBS
principal investigator · ENT registrar

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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